Levi Lagrow, is a medicare enrolled "Social Worker - Clinical" provider in Pueblo, Colorado. His current practice location is
1304 Chinook Ln, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 545-2746.
Levi Lagrow is licensed to practice in Colorado (license number CSW.09930241) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457770034.
Healthcare Provider's Profile
Full Name | Levi Lagrow |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1304 Chinook Ln, Pueblo, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457770034
- Provider Enumeration Date: 04/10/2014
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921440561
- Enrollment ID: I20240528002119
Medical Identifiers
Medical identifiers for Levi Lagrow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457770034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09930241 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Levi Lagrow allows following entities to bill medicare on his behalf.
Entity Name | Health Solutions |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033165527 PECOS PAC ID: 0143110668 Enrollment ID: O20040318000467 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Levi Lagrow is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Levi Lagrow, 41 Montebello Rd Ste 204, Pueblo, CO 81001-1379 Ph: (719) 545-2746 | Levi Lagrow, 1304 Chinook Ln, Pueblo, CO 81001-1851 Ph: (719) 545-2746 |
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